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Care in the community: a study of services and costs in six districts

Alastair Gray (), Angela Whelan and Charles Normand

No 006cheop, Working Papers from Centre for Health Economics, University of York

Abstract: Drawing on evidence collected from all providers of community care in 6 districts, this study finds: 1. Total public expenditure on all services for community for community care client groups distributed across providers as follows: DHAs – 52% Local authorities – 34% DHSS benefit payments – 11% Private/voluntary sector – 3% The split varies widely between districts. 2. Per capita public spending on all community care client groups varies from £100 to over £170 in the districts studied. 3. 54% of all public expenditure on community care client groups goes on services to the elderly, about one fifth each to mental illness and mental handicap services, and less than 5% to services for the physically disabled. 4. The balance of care is still dominated by hospitals and other institutional facilities, which command 73% of all publically provided resources being directed towards the client groups. In the DHAs, 85% of all client group spending went into institutional provision. From all providers, the expenditure on community services for the client groups is in the region of £22 per head of population.

Keywords: DHSS (search for similar items in EconPapers)
Pages: 64 pages
Date: 1988-03
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http://www.york.ac.uk/media/che/documents/papers/o ... onal%20Paper%206.pdf First version, 1988 (application/pdf)

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Persistent link: https://EconPapers.repec.org/RePEc:chy:respap:6cheop

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